KLAMATH TRIBAL HEALTH & FAMILY SERVICES NPI 1629078274

NPI Information

NPI: 1629078274
Provider Name: KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 38D0968045

Address:
330 CHILOQUIN BLVD
CHILOQUIN, OR
ZIP 97624
Phone: (541) 783-2438
Get Directions

KLAMATH TRIBAL HEALTH & FAMILY SERVICES is a federally qualified health center (fqhc) clinic center in Chiloquin, OR. KLAMATH TRIBAL HEALTH & FAMILY SERVICES NPI is 1629078274. The provider is registered as an organization entity type.

The provider's business location address is:

330 CHILOQUIN BLVD
CHILOQUIN, OR
ZIP 97624
Phone: (541) 783-2438
Fax: (541) 783-3273

The provider's authorized official is Nikowa Nicole Mendez .
The authorized official title is Compliance Administrator and has the following contact phone number (541) 882-1487.

The CLIA number assigned to this NPI record is 38D0968045 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2005 and was last updated on 3/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	129861	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »